Organization
HHC OF SOUTHWEST FLORIDA LLC
Active
Other names
Interim HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE POTOCHNEY (PRESIDENT)
(239) 206-1150
Entity
Organization
Contact information
Practice address
840 111TH AVE N, SUITE #7, NAPLES, FL 34108-1877
(239) 206-1150
(239) 206-1160
Mailing address
840 111TH AVE N, SUITE #7, NAPLES, FL 34108-1877
(239) 206-1150
(239) 206-1160
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299994459
HHA LICENSE
FL
Enumeration date
05/13/2015
Last updated
10/21/2015
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